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Ap•lication Number:APP-22978 <br /> • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20080476 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> ALLEN WENDORF (608)873-3431 SAME AS OWNER <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 1160 PLEASANT HILL RD <br /> (City,State,Zip) (City,State,Zip) <br /> STOUGHTON,WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> AWENDORF @COMMERCE.STATE.WI.US <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0511-113-8555-5 DUNKIRK 11 SW NW <br /> •J(•1 J 4; 1W:1 01'11*TAM HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 1160 PLEASANT HILL RD <br /> LOT BLOCK C.S.M.NO.Qr PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 05200 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 14 New ❑Addition/Alteration CENSUS CODE <br /> RH 2 4.49 Description:28'30'GARAGE 328 OTHER NON-RES <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other: ❑Public $I Private <br /> ROAD CLASSIFICATION REZONE NO C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C 5869 ❑Yes ❑No <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ��II <br /> ❑Yes pt No ❑Yes X No ❑Yes X No <br /> HEIGHT(In Feet) BASEMENT 1sj FLOOR TOTAL SQUARE FEET <br /> 840 840 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 12,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 113.00 <br /> 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and certify to the accuracy of that <br /> information. I further certify I am the owner of the property, or a duly authorized representative,and may sign this permit application on behalf of the <br /> owner(s) of said property, and I have read and understand all of the conditions of this permit and will construct the project in compliance with <br /> those conditions. I understand that failure to comply with any provision of the permit renders it null and void and may result in an enforcement action. <br /> 2. I,the undersigned,hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate village or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances. This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGN � Owner/A nt / DTE: <br /> Ordinances.Any unauthorized change from the information C . / /1 d or plans submitted will invalidate the permit A -/e- <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st i't SPECTIO DATE INITIAL <br /> ❑Yes I No 10 Jul 2008 DJE1 V19 DATE REVIEWED INITIALS 2nd INS CTI DATE INITIALS <br /> Initials: i ( 12 1 09 S <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF A MO,�IFl AjIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS l/,� <br /> 545-112(12/05) GCS-single <br />